# LAKE PRINCE AT HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE PRINCE CENTER, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932601747
- **Legal business name:** LAKE PRINCE CENTER, INC.
- **Authorized official:** LEE B SYRIA (PRESIDENT AND CEO)
- **Authorized official phone:** (828) 465-8019

## Contact information

- **Practice address:** 100 ANNA GOODE WAY, SUFFOLK, VA 23434-9236
- **Practice address phone:** (757) 923-5500
- **Mailing address:** 100 LEONARD AVE, NEWTON, NC 28658-9649
- **Mailing address phone:** (828) 465-8021
- **Mailing address fax:** (828) 465-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2018
- **Last updated:** 03/14/2025